| NPI | 1831368711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201501099NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-49579) |
| 163W00000X Registered Nurse (Licence: LA RN140381) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP07265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1283) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 612484) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2021-12-07 |